Individual provider · Type 1 NPI
Sally Bishop Brooks, PA-C
Medical Physician Assistant · Lawerenceville, GA
NPI number
1104948405
Active
Practice location
1000 Medical Center Blvd
Lawerenceville, GA 30054
Mailing address
1000 Medical Center Blvd
Lawrenceville, GA 30045-7694
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 003149 (GA) |
Medical Physician Assistant: Definition to come...
About NPI 1104948405
Sally Bishop Brooks, PA-C's National Provider Identifier is 1104948405, issued on Apr 6, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lawerenceville, GA. The record was last updated on Dec 29, 2021.